Nasreen Fatima Ahmed, M.D.
Individual provider Active NPI Hospitalist Physician · Libertyville, IL
NPI 1699070540 · NPPES record last updated May 17, 2022
Key facts
- NPI
- 1699070540
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hospitalist Physician 208M00000X
- License
- 036131857 (IL)
- Practice address
- 801 S Milwaukee Ave
Libertyville, IL 60048-3204 - Phone
- (847) 990-5450
- NPI assigned
- Jan 24, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131203001744 | IL | Practitioner - Hospitalist |
3173759792 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036131857 | IL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endeavor Health Medical Group | Current |
Accepting new patients | |
| Endeavor Health Medical Group | Pediatrics | Current | Accepting new patients |
| Advocate Health & Hospitals Corporation | Current |
Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current |
Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Ias Illinois PC | Past | Accepting new patients |
Locations
214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160
9532 Eagle Way
Chicago, IL 60678
29373 Network Pl
Chicago, IL 60673
2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175
2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172
2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222
777 Park Ave W
Highland Park, IL 60035
Phone (847) 480-3744
801 S Milwaukee Ave
Libertyville, IL 60048
Phone (847) 362-2900
Interoperability endpoints
- nahmed208534@direct.myadvocateaurora.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 036131857 | IL | |
| Hospitalist Physician | 208M00000X | 036131857 | IL | Yes |
Addresses
Primary practice location
801 S Milwaukee Ave
Libertyville, IL 60048-3204
Mailing address
29373 Network PL
Chicago, IL 60673-1293
Phone (847) 390-5900
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nahmed208534@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
Other providers in Libertyville, IL
- Affinity Physical Therapy SC Inc
- Agony of de-Feet LTD.
- Arellys Aguinaga
- Sarwat Ahmad
- Ahmed & Patel, PLLC
- Osmanuddin Syed Ahmed
- Ajay a Madhani MD SC
- Nimat Akorede
- Akua Oforiwaa Akuffo
- Ala Dean Attar DMD PC
All providers in Libertyville, IL · Hospitalist Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 17, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.